Примери за използване на Veralipride на Английски и техните преводи на Български
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Veralipride was authorised in 6 European Member States.
No studies were performed to evaluate whether veralipride has an effect on QT.
Veralipride is a benzamide neuroleptic medicine indicated in the treatment of vasomotor symptoms associated with the menopause.
In this review, the CHMP assessed all of the available information on the safety and efficacy of veralipride.
Veralipride was approved since 1979 for the indication of treatment of vasomotor symptoms(hot flushes) associated with the menopause.
The CHMP has recommended the withdrawal of the Marketing Authorisations for the medicinal products containing veralipride referred to in Annex I.
Veralipride treatment is contra-indicated in patients with prolactindependent tumours such as pituitary gland prolactinoma and breast cancer.
The Committee considered the referral made under article 31 of Directive 2001/83/EC, as amended,for medicinal products containing veralipride.
The CHMP concluded that the data submitted showed only limited effect of veralipride in the treatment of vasomotor symptoms associated with the menopause.
The absence of cases of suggestive QT-prolongation in the database is not sufficient to conclude that this effect does not occur with veralipride.
It should be noted that in the evaluation of the causality assessment of veralipride in the psychiatric events, the role of veralipride is not always clear.
In order to avoid psychiatric AE, extrapyramidal symptoms and tardive dyskinesia,the MAH proposed a maximally allowed duration of 3 months veralipride treatment.
The Committee considered that veralipride containing medicinal products only showed limited efficacy in the treatment of hot flushes associated with the menopause;
In addition, hyperprolactinemia and the risk of QT prolongation are also concerns;• The Committee concluded, in view of available data,that the risks associated with the use of veralipride in the treatment of hot flushes associated with the menopause outweigh the limited benefits.
On 7 September 2006, following the withdrawal of veralipride from the Spanish market due to reports of serious side effects affecting the nervous system, the European Commission referred the matter to the EMEA under Article 31 of Directive 2001/ 83/ EC.
Since bradycardia constitutes a risk factor in the occurrence of torsades de pointes, the combination of rivastigmine with torsades de pointes-inducing medicinal products such as antipsychotics i.e. some phenothiazines(chlorpromazine, levomepromazine), benzamides(sulpiride, sultopride, amisulpride,tiapride, veralipride), pimozide, haloperidol, droperidol, cisapride, citalopram, diphemanil, erythromycin IV, halofantrin, mizolastin, methadone, pentamidine and moxifloxacine should be observed with caution and clinical monitoring(ECG) may also be required.
Review of veralipride-containing medicines,following the withdrawal of veralipride form the Spanish market because of reports of serious side effects affecting the nervous system and a number of regulatory actions in other EU Member States where veralipride was authorised.
The Committee concluded, in view of available data,that the risks associated with the use of veralipride in the treatment of hot flushes associated with the menopause outweigh the limited benefits.
Overall, the restriction to limit the use of veralipride to 3 months in combination with monthly medical neurological examinations and breast monitoring is not considered adequate to limit the risk of all adverse effects reported with veralipride and adequately treat the vasomotor symptoms associated with the menopause.
On 19 July 2007, based on evaluation of the currently available data and the Rapporteurs' assessment reports, the CHMP considered that the benefit/ risk profile of veralipride-containing medicinal products is negative andtherefore adopted an opinion recommending the withdrawal of the Marketing Authorisation for all medicinal products containing veralipride.
The Committee considered the referral made under article 31 of Directive 2001/ 83/ EC, as amended,for medicinal products containing veralipride• The Committee considered that veralipride containing medicinal products only showed limited efficacy in the treatment of hot flushes associated with the menopause;• The Committee considered that neurological reactions(dyskinesia, extrapyramidal disorder, Parkinson syndrome) and psychiatric reactions(depression, anxiety, withdrawal syndrome) have been reported with veralipride, including tardive dyskinesia which may be potentially irreversible.
Since bradycardia constitutes a risk factor in the occurrence of torsades de pointes, the combination of rivastigmine with torsades de pointes-inducing medicinal products such as antipsychotics i.e. some phenothiazines(chlorpromazine, levomepromazine), benzamides(sulpiride, sultopride, amisulpride,tiapride, veralipride), pimozide, haloperidol, droperidol, cisapride, citalopram, diphemanil, erythromycin IV, halofantrin, mizolastin, methadone, pentamidine and moxifloxacine should be observed with caution and clinical monitoring(ECG) may also be required.
This included mainly 11 studies involving around 600 women, in which veralipride was compared with placebo, and two studies in around 100 women where it was compared with conjugated oestrogens.
The European Commission triggered a referral procedure on 7 September 2006 andrequested the CHMP to give its opinion on whether the marketing authorisations for products containing veralipride should be maintained, varied, suspended or withdrawn across the European Union following the assessment of these safety risks their impact on the benefit/risk assessment of veralipride.
In view of the available clinical data the CHMP concluded that the risks associated with the use of veralipride in the treatment of hot flushes associated with the menopause, mainly the neurological reactions(dyskinesia, extrapyramidal disorder, Parkinson syndrome) and psychiatric reactions(depression, anxiety, withdrawal syndrome) outweigh the limited benefits.
Benefit/ risk In view of the available clinical data the CHMP concluded that the risks associated with the use of veralipride in the treatment of hot flushes associated with the menopause, mainly the neurological reactions(dyskinesia, extrapyramidal disorder, Parkinson syndrome) and psychiatric reactions(depression, anxiety, withdrawal syndrome) outweigh the limited benefits.